-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RmTKmGV/+St2AUpShwMsxG9WyIVVubRglf1GtMuaSUYInhB9djyPfmkbnA0Rs+Ht MZ/uX489o/pdRvT8xNoumw== 0000950103-98-000107.txt : 19980209 0000950103-98-000107.hdr.sgml : 19980209 ACCESSION NUMBER: 0000950103-98-000107 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980123 FILED AS OF DATE: 19980206 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INTEGRAMED AMERICA INC CENTRAL INDEX KEY: 0000885988 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 061150326 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-20260 FILM NUMBER: 98524581 BUSINESS ADDRESS: STREET 1: ONE MANHATTANVILLE RD CITY: PURCHASE STATE: NY ZIP: 10577-2100 BUSINESS PHONE: 9142538000 MAIL ADDRESS: STREET 1: 1 MANHATTANVILLE RD CITY: PURCHASE STATE: NY ZIP: 10577-2100 FORMER COMPANY: FORMER CONFORMED NAME: IVF AMERICA INC DATE OF NAME CHANGE: 19950720 COMPANY DATA: COMPANY CONFORMED NAME: MORGAN STANLEY DEAN WITTER DISCOVER & CO CENTRAL INDEX KEY: 0000895421 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] OTHER IRS NUMBER: 363145972 STATE OF INCORPORATION: DE FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 1585 BROADWAY CITY: NEW YORK STATE: NY ZIP: 10036 BUSINESS PHONE: 2123922222 MAIL ADDRESS: STREET 1: 1585 BROADWAY STREET 2: 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10036 FORMER COMPANY: FORMER CONFORMED NAME: DEAN WITTER DISCOVER & CO DATE OF NAME CHANGE: 19960315 3 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL OMB Number: 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response....0.5 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) 1. Name and Address of Reporting Person* Morgan Stanley Venture Capital III, Inc.(1) - --------------------------------------------- (Last) (First) (Middle) 1221 Avenue of the Americas - --------------------------------------------- (Street) New York NY 10020 - --------------------------------------------- (City) (State) (Zip) 2. Date of Event Requiring Statement (Month/Day/Year) January 23, 1998 3. IRS Identification Number of Reporting Person, if an entity (Voluntary) 4. Issuer Name and Ticker or Trading Symbol IntegraMed America, Inc. (INMD) 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director x 10% Owner ----- ----- ----- Officer (give ----- Other (specify below) title below) -------------------- 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) Form filed One Reporting Person ----- x Form filed by More than One Reporting Person ----- Table I -- Non-Derivative Securities Beneficially Owned
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Form: Direct (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------- Common Stock 3,235,294 I(2) Through Partnerships Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction (Over) 5(b)(v). SEC 1473 (7-96)
FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 4) Warrants to purchase Common Stock(3) - --------------------------------------------------------------------------- 2. Date Exer- cisable and Expiration Date (Month/Day/ Year) ----------------------------------------------------- Date Exercisable Expiration Date Immed. 1/23/02 - --------------------------------------------------------------------------- 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) ----------------------------------------------------- Title Amount of Number of Shares Common Stock 240,000 - --------------------------------------------------------------------------- 4. Conversion or Exercise Price of Derivative Security $0.01 - --------------------------------------------------------------------------- 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) I(2) - --------------------------------------------------------------------------- 6. Nature of Indirect Beneficial Ownership (Instr. 5) Through Partnerships - --------------------------------------------------------------------------- Explanation of Responses: (1) Please see attached Joint Filer Information. (2) Except for Morgan Stanley Venture Partners III, L.P., Morgan Stanley Venture Investors III, L.P. and The Morgan Stanley Venture Partners Entrepreneur Fund (collectively, the "Funds"), which hold the securities directly. (3) The Warrants are exercisable into Common Stock at anytime before their expiration at the election of the Funds.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Debra Abramovitz See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- **Signature of Reporting Person February 6, 1998 - ---------------- By: Debra Abramovitz, as Vice Date President of Morgan Stanley Venture Capital III, Inc. institutional managing member of the Funds
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number. Joint Filer Information Each of the following joint filers has designated Morgan Stanley Venture Capital III, Inc. as the "Designated Filer" for purposes of Item 1 of the attached Form 3: (1) Morgan Stanley, Dean Witter, Discover & Co. ("MSDW") 1585 Broadway New York, New York 10036 (2) Morgan Stanley Venture Partners III, L.L.C ("MSVP III, L.L.C.") 1221 Avenue of the Americas New York, New York 10020 (3) Morgan Stanley Venture Capital III, Inc. ("MSVC III, Inc.") 1221 Avenue of the Americas New York, New York 10020 (3) Morgan Stanley Venture Partners III, L.P. ("MSVP III, L.P.") 1221 Avenue of the Americas New York, New York 10020 (4) Morgan Stanley Venture Investors III, L.P. ("MSVI III, L.P.") 1221 Avenue of the Americas New York, New York 10020 (5) The Morgan Stanley Venture Partners Entrepreneur Fund ("Entrepreneur Fund") 1221 Avenue of the Americas New York, New York 10020 Issuer & Ticker Symbol: IntegraMed America, Inc. (INMD) Date of Event Requiring Statement: 1/23/98 Signature: /s/ Peter Vogelsang By: Peter Vogelsang, as authorized signatory for MSDW Signature: /s/ Debra Abramovitz By: Debra Abramovitz, as Vice President of MSVC III, Inc., institutional managing member of MSVP III, L.L.C., MSVP III, L.P., MSVI III, L.P., and Entrepreneur Fund Page 3 of
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